215 Final Exam

Question 1

Whats the difference between

Cleaning -
Disinfection -
Sterilization -

Answer 1

Cleaning - removing
Disinfection - killing pathogens w/ chem
Sterilization - heat or uv, kill microbial contamination

Question 2

Define Due Regard

Question 3

Where should you park at an emergency scene

Question 4

When cornering on a curve when should you apex?

Answer 4

Apex late

Question 5

How do you pass a funeral?

Answer 5

Turn off audible and slowly pass to the left

Question 6

Define Due Regard

Question 7

if you are the first arriving unit, for greatest safety where do you position?

Answer 7

21’ behind stopped vehicle at a 10-degree angle to the left

Question 8

What is the difference between concealment and cover?

Answer 8

concealment - Cover provides you protection

cover - does not offer any protection, hides

Question 9

Where should you stand when knocking on the door of a structure?

Answer 9

the doorknob-side of the door

Question 10

If you remove a crime victim’s clothing, what should you do with it?

Answer 10

Cut at seams;
place in paper bag and then plastic bag if they are saturated

Question 11

In the ERG what is each section

Answer 11

evaluation distances (green section)
and
basic action plans (yellow or blue section)

Question 12

exposure to an unknown vapor cloud
GCS of 13.
Vital signs are: BP 148/92, P 108, R 22 and shallow with audible wheezing
you note excess saliva. The patient’s skin is red, warm, and diaphoretic and urinating

what is it and what is treatment?

Answer 12

Organophosphate poisoning

decon
ABC, IV,
Bronchodilators

Duo-Dote Anidote - eliminate agent from the body

Atropine 2-6mg every 5 mins - blocks nerve agent

Question 13

What level hazmat suit

Question 14

What is the order of treatment in a MCI

Answer 14

Incident
Extrication
Triage
Treatment
Transport
Hospital

Question 15

Define primary and secondary triage.

Answer 15

Primary triage is the triage first done on scene.

Secondary triage is generally done in the treatment area.

Question 16

Identify

and treat

Answer 16

V Fib

Start CPR

Question 17

Answer 17

V fib

Question 18

Identify

and treat

Answer 18

A Fib

Question 19

STEMI patient has chest discomfort what is a contraindication to nitrate

Answer 19

Use of PD (phosphodiesterase) inhibitor within the previous 24 hrs

Question 20

What is the indication for the use of magnesium in cardiac arrest?

Answer 20

Torsades

Question 21

When does Brady require treatment

Answer 21

hypotension

Question 22

Patient has rapid irregular wide-complex tachy, ventricular rate is 138/min. He is asymptomatic with a bp of 110/70. hx of angina. how would you treat?

Answer 22

Give 150mg amiodarone
if amio fails give Lidocaine?
consider synchronized cardio

Question 23

Patient has brady with a hr of 36
A total of 3mg of Atropine has been given and the Pacing has failed to capture. Bp is 88/56 what do you do?

Answer 23

Epi 2-10 mcg/min

Question 24

During CPR (asystole) no shock was indicated after resuming CPR what do you do next?

Answer 24

IV or IO access

(before ETT intubation)

Question 25

The patient has resolution of moderate (5/10) chest pain w/ STEMI after 3 doses of sublingual nitroglycerin. BP104/70 mm Hg.
Which intervention do you do?

Answer 25

Reperfusion therapy

Question 26

Chest compression depth

Answer 26

2 inches

Question 27

Define status Asthmaticus
signs

and treatment for PED

Answer 27

Life threatening asthma exacerbation

signs - accessory muscle, dyspnea, decreased breath sounds, inhaler not working

Neb treatment
Dexamethasone
Magnesium Sulfate

Question 27

For PED less than 1 years old can you give Ipratropium in NEB treatment?

Answer 27

No, it is contraindicated